Stanton R, Reaburn P, Happell B
School of Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia.
Research Centre for Nursing and Midwifery Practice, University of Canberra, Canberra, ACT, Australia.
J Psychiatr Ment Health Nurs. 2015 Aug;22(6):440-8. doi: 10.1111/jpm.12205. Epub 2015 Apr 8.
Exercise is valuable in the treatment of mental illness, yet personal and organizational barriers limit widespread implementation by nurses in mental health settings. Using a self-report questionnaire, we sought to identify how often nurses prescribe exercise and their level of agreement with previously identified barriers to exercise prescription and participation for mental health consumers. Nurses disagree that many of the previously identified barriers should impede exercise prescription for people with mental illness. Nurses agree that many of the barriers expressed by mental health consumers might prevent exercise participation. Our study provides valuable new insight into the role of nurses in the provision of exercise for people with mental illness; however, it is limited to a small sample. Confirmation of these findings in larger, geographically and professionally diverse groups is needed.
Evidence is mounting for the efficacy of exercise in the treatment of people with mental illness. Nurses working in mental health settings are well placed to provide exercise advice for people with mental illness. However, quantitative examinations of the barriers to exercise prescription experienced by nurses, or their views regarding the barriers to exercise participation experienced by people with mental illness, are lacking. In this study, 34 nurses completed the Exercise in Mental Illness Questionnaire-Health Professionals Version (EMIQ-HP). This survey examined the frequency of exercise prescription and the level of agreement with statements regarding barriers to exercise prescription for, and exercise participation by, people with mental illness. The level of agreement scores for statements for each section was summed, with a higher score indicating a higher level of agreement. Nurses disagree with many of the barriers to exercise prescription presented in the literature. The level of agreement scores did not differ between nurses who prescribe exercise 'Always', 'Most of the time', 'Occasionally' or 'Never'. We found a non-significant negative relationship between frequency of exercise prescription and summed level of agreement scores for barriers to exercise prescription. Consensus regarding barriers to exercise participation by mental health consumers is less clear. This study provides valuable new insight into the role of nurses in the provision of exercise for people with mental illness. Confirmation in larger samples is needed before translation of research to practice.
运动对精神疾病的治疗具有重要价值，但个人和组织层面的障碍限制了心理健康机构的护士广泛开展运动治疗。我们通过一份自填式问卷，试图确定护士开具运动处方的频率，以及他们对先前确定的影响心理健康消费者运动处方开具和参与运动的障碍的认同程度。护士们不同意许多先前确定的障碍会阻碍为精神疾病患者开具运动处方。护士们认同心理健康消费者提出的许多障碍可能会妨碍他们参与运动。我们的研究为护士在为精神疾病患者提供运动方面的作用提供了有价值的新见解；然而，该研究仅限于小样本。需要在更大规模、地域和专业背景多样的群体中对这些发现进行验证。
越来越多的证据表明运动对精神疾病患者的治疗具有疗效。在心理健康机构工作的护士非常适合为精神疾病患者提供运动建议。然而，目前缺乏对护士在开具运动处方时所面临障碍的定量研究，也缺乏他们对精神疾病患者参与运动障碍的看法的研究。在本研究中，34名护士完成了《精神疾病运动问卷 - 健康专业人员版》（EMIQ - HP）。该调查考察了运动处方的开具频率，以及对有关精神疾病患者运动处方开具障碍和运动参与障碍陈述的认同程度。每个部分陈述的认同程度得分相加，得分越高表明认同程度越高。护士们不同意文献中提出的许多运动处方开具障碍。“总是”“大多数时候”“偶尔”或“从不”开具运动处方的护士之间，认同程度得分没有差异。我们发现运动处方开具频率与运动处方开具障碍认同程度得分总和之间存在不显著的负相关关系。对于心理健康消费者参与运动的障碍，共识不太明确。本研究为护士在为精神疾病患者提供运动方面的作用提供了有价值的新见解。在将研究转化为实践之前，需要在更大样本中进行验证。
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